Gragg, Shirley Jean

Gragg, Shirley Jean is an sole proprietor health care provider with primary practice located at 2118 Chatalet Ln , Pueblo CO 81005-4625. She recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Gragg, Shirley Jean can be contacted via phone (719) 564-2000.

Contact Information

Primary practice address
2118 Chatalet Ln Pueblo CO 81005-4625
Phone: (719) 564-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X EMT 511744 Florida
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.0047668 Colorado

Profile Details

NPI number 1366973109
LBN Legal business name Gragg, Shirley Jean
Credentials LPN II,NREMT-B,CIC-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2017
Last updated Mar 23rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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